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HomeMy WebLinkAbout292454 THERMO ELECTRON NORTH AMERICA LLC - INSURANCE CERTIFICATE�®F CERTIFICATE OF LIABILITY INSURANCE DAT 06/29120112 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. _ IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk Services Central, Inc. Chicago IL Office CONTACT NAME: (A/C PHONE Ext): (866) 283-7122 (NC. No.): (847) 953-5390 EMAIL ADDRESS: 200 East Randolph Chicago IL 60601 USA INSURER(S) AFFORDING COVERAGE NAIC III ` qwo INSURED INSURER A: Travelers Property Cas Co of America 25674 Thermo Electron North America LLC Thermo Fisher Scientific Inc 5225 Verona Road INSURER B: ACE American Insurance Company 22667 INSURER C: ACE Property & Casualty Insurance Co. 20699 Madison WI 53711 USA INSURER O: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570046863581 - REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD�ffi MM/D LIMITS B GENERAL LIABILITY PMIG EACH OCCURRENCE $2,000,000 X COMMERCIAL GENERAL LIABILITY SIR SIR applies per policy terns & condl ions DAMAGE TO RENTED occunence $1,000,000 CLAIMS -MADE ❑X OCCUR MED EXP (Any one person) $10, 000 PERSONAL& ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $4,000,000 X POLICY PRO LOC A AUTOMOBILE LIABILITY TC23 CAP 7439L26-0-TIL-12 07 01 2012 07/01/2013 COMBINED SINGLE LIMIT Ea accident $2,000,000 BODILY INJURY ( Per person) AINY AUTO X - BODILY INJURY (Per accident) ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident C X UMBRELLA LIAB OCCUR G2704587A 07/01/2012 07/01/2013 EACH OCCURRENCE $5,000,000 EXCESS LIAR H CLAIMS -MADE SIR applies per policy terns & condi ions AGGREGATE $5,000,000 DED I X RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LU1BILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN TC2JUB121D764712 07/01/2012 07/01/2013 X we STAT ER E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE -EA EMPLOYEE S1,000,000 I(ySCRIPcdbe antler DESCRIPTION under OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, N more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE 4316 W. Laporte Attn: Carl Yost Fort Collins CO 80521 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD C� 54 A O® CERTIFICATE OF LIABILITY INSURANCE DAT 06/ 9/220112 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Aon Risk services Central, Inc. Chicago IL Office CONTACT NAME: jac NNo. Ext): (866) 283-7122 IFaC. No.): (847) 953-5390 E-MAIL ADDRESS: 200 East Randolph Chicago IL 60601 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Travelers Property Cas Co of America 25674 Thermo Electron North America LLC Thermo Fisher scientific Inc INSURER B: ACE American Insurance Company 22667 INSURER C: ACE Property & Casualty Insurance Co. 20699 5225 Verona Road Madison WI 53711 USA INSURER D: INSURER E: INSURER F: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Limits shown are as requested INSR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD MMIOD LIMITS B GENERAL LIABILITY PMIG EACH OCCURRENCE $2 , 000, 000 X COMMERCIAL GENERAL LIABILITY SIR applies per policy terns & Condi ions DAMAGE TO ocwnen" PREMISES Ea $1,000,000 CLAIMS -MADE X❑ OCCUR MED EXP (Any one person) $10, 000 PERSONAL &ADV INJURY $2,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $4,000,000 X POLICY PRO- LOC A AUTOMOBILE LIABILITY TC23 CAP 7439L26-0-TIL-12 07 01 2012 07 01/2013 COMBINED SINGLE LIMIT Ea accident $2,000, 000 BODILY INJURY ( Per Pemmn) X ANY AUTO ALL OWNED SCHEDULED BODILY INJURY (Per accident) AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS PROPERTY DAMAGE Per accident C X UMBRELLA LIAB % OCCUR G2704587A 07/01/2012 07701/ 0013 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE SIR applies per policy terns & Condi ions AGGREGATE $5,000,000 DIED I X RETENTION A WORKERS EMPLOYERSOMP�E LSnAITION AND YIN ANY PROPRIETOR/PARTNER/EXECUTIVE N TC2JU6121D764712 07/01/2012 07/01/2013 X TORV LITAT EOTH R E.L. EACH ACCIDENT $1,000,000 OFFICEWMEMBER EXCLUDED? N I A E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, tlesrribe antler DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT S1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, C more spa" is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City 4316 of Fort Collins W. Laporte AUTHORIZED REPRESENTATIVE Attn: Fort Carl Yost Collins CO 80521 USA ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD